9001 AIRPORT RD 2021-12-20 - Laserfiche WebLink

Arza ESCTRICAL PERMIT APPLI•TION CITY OF EVERETT PERMIT SERVICES w i r s. I( 3200 CEDAR STREET. EVERETT,WA 98201 Fy lw.. P)425-257-8810 FAX 425-257-8857 (E)everet:eps@everettwa.gov www.everettwa.gov/permits w, sH IN;_nn PROJECT SITE INFORMATION PROJECT ADDRESS: 9001 AIRPORT ROAD (BUILDING AREA: 1432 sq ft PROJECT TYPE: n NEW CONSTRUCTION U ADDITION 0 TENANT IMPROVMENT Li REMODEL ��11 BUILDING USE: U SFR I�1 TOWNHOUSE ❑ DUPLEX ❑ ADU �I MULTI-FAMILY-#OF UNITS: tr!! COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ S10.000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Connection for new bench oven in aerospace classroom. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? n NO n YES- Select Scope: ❑ Service ❑ Feeder n. Circuits-#:1 . Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO n YES-#of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ Fire Alarm- Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑ Other(List All): CODE COMPLIANCE �1 IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: L� NO Lr J YES--See Below&Pa. 2 if By checking this box. I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application(see next page); AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO EYES-See Below&Pg. 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without the proper electrical licensing and certification,or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT`INFORMATION OWNER NAME: MUKILTEO SCHOOL DISTRICT TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 9401 SHARON DRIVE c,T,, EVERETT STATE WA zip 98204 OWNER PHONE:(425) 356-6625 OWNER EMAIL:StefansonKl@mukilteo.wednet.edu CONTRACTOR NAME: Bonner Electric CONTRACTOR ADDRESS: STREET 1419 Dike Road CITY Mt. Vernon q.1c.1-E WA ZIP 98273 CONTRACTOR PHONE:360-899-95440 CONTRACTOR EMAIL:brad@bonnerec.com CONTRACTOR LIC.#(REQUIRED): F.EG got(Lei CITY OF EVERETT BUSINESS LIC. #!-EQUIRED): ST301 PRIMARY CONTACT: nOWNER nCONTRACTOR (✓OTHER (Please Specify) BCE`np &e's CONTACT NAME: CONTACT PHONE:(253)922-0446 Scott Watling CONTACT EMAIL:scott.watling@bceengineers.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws,-r ordinances governing this type o`work will be completed whether specified herein;or not. The granting of a permit does not presume to give authority to violate or ca; r c'sions of any other state c,• loca law regulating constructio the performance of construction Thal%s^”o.:ric- 5-d , The o"r_ property to perform the WO, . vplicarion is made and I comply with the State Contract:: _elk 18.27 RCW anc 22c.2CC WAC- City of Everett Official Use Only V_RMI T=: Scot.l'a(I!ngtifforriotkg ., 5'2E'2' Owner/Authorized Agent Signature Date Page 1-Application